| NPI | 1407950496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX LMFT4362) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX LCSW14160) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2012-02-17 |